About this trial
To evaluate if CT features at diagnosis in patients with HGSOC can be used to build an Artificial Intelligence model capable of discerning the pathological involvement of the mesentery, assessing the potential impediments for an optimal debulking surgery and predicting the development of resistance to platinum based chemotherapeutic agents.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women with confirmed HGSOC wiht mesenteric involvment
Age > 18 years
FIGO STAGE IIIB-IV
Primary diagnosis
Disqualifiers
Non-serous high grade epithelial ovarian cancer (serous low grade, mucinous, clear cell carcinoma, endometrioid or non-epithelial ovarian cancer)
Early stage disease (I and II stage)
CT scan not available
Non-primary diagnosis or patient subjected to neoadjuvant chemotherapy
Trial population
Women with confirmed HGSOC who exhibited mesenteric disease, including mesenteric retraction or diffuse mesenteric carcinomatosis, during diagnostic laparoscopy (or without mesenteric disease for the control cohort)
Trial design
Other
Prospective
Treatments tested in this trial
Computed Tomography
Diagnostic testComputed Tomography done according to Clinical Practice to assess mesenteric involvment
Treatment groups
Trial outcomes
Primary outcomes
Preoperative Artificial Intelligence assisted CT-based evaluation
Preoperative Artificial Intelligence assisted CT-based prediction of patients with suboptimal debulking at surgery due to diffuse mesenteric disease or mesenteric retraction.
Secondary outcomes
Evaluation of the Radiologist Assessment of the CT
Identification of mesenteric infiltration from CT images using Artificial Intelligence at a comparable performance with human/radiologist assessment.
Prediction of Platinum Resistance
AI-assisted CT-based prediction of patients who will develop platinum resistance
Prediction of Progression Free Survival (PFS) and Overall Survival (OS)
Prediction of Progression Free Survival (PFS) and Overall Survival (OS) with Artificial Intelligence
Sponsors and contacts
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Lead sponsor
Danube University Krems
Collaborator
Institut du Cancer de Montpellier - Val d'Aurelle
Collaborator
Ente Ospedaliero Cantonale, Ticino, Switzerland
Collaborator